Kassandra Atoulon
Individual provider Active NPI Driver · Summerville, SC
NPI 1285586321 · NPPES record last updated Feb 11, 2026
Key facts
- NPI
- 1285586321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 151 Decatur Dr
Summerville, SC 29486-5333 - Phone
- (843) 801-9560
- NPI assigned
- Feb 11, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
151 Decatur Dr
Summerville, SC 29486-5333
Mailing address
151 Decatur Dr
Summerville, SC 29486-5333
Phone (843) 801-9560
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.